| NPI | 1225003379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0190571) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NY 0190571) |
| 103T00000X Psychologist (Licence: NY R#019571) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 0190571) | |
| 103TF0000X Psychologist, Family (Licence: NY 0190571) | |
| 103TF0200X Psychologist, Forensic (Licence: NY 0190571) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 019571) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2009-10-23 |