| NPI | 1972008027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011012) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 34279) |
| 101YP2500X Counselor, Professional (Licence: SC 9014) | |
| 101YP2500X Counselor, Professional (Licence: NJ 119954) | |
| 104100000X Social Worker (Licence: NY 119954) | |
| 101YP2500X Counselor, Professional (Licence: PA PC016002) | |
| 101YP2500X Counselor, Professional (Licence: TX 92074) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-08-21 |