| NPI | 1023530532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022131) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NY 022131) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 022131) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 022131) | |
| 103TC1900X Psychologist, Counseling (Licence: NY 022131) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 022131) | |
| 103TF0000X Psychologist, Family (Licence: NY 022131) | |
| 103TH0004X Psychologist, Health (Licence: NY 022131) | |
| 103TH0100X Psychologist, Health Service (Licence: NY 022131) | |
| 103TS0200X Psychologist, School (Licence: NY 022131) | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2019-03-28 |