| NPI | 1962549691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071225) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 062695) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 157851) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 284634) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2012-05-11 |