| NPI | 1992231427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094645) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 34985) |
| 104100000X Social Worker (Licence: NY 103709) | |
| 106H00000X Marriage & Family Therapist (Licence: NY P03413) | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2023-09-15 |