| NPI | 1992795843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R028831) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 2511) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2019-10-30 |