| NPI | 1962848820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085736) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 30264) |
| 1041S0200X Social Worker, School (Licence: NY 2916237) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2020-08-26 |