| NPI | 1205511177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 084015) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 084015) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 084015) | |
| 102L00000X Psychoanalyst (Licence: NY 084015) | |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |