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 |