| NPI | 1023252525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 9371) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 9371) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 9371) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: NY 9371) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |