| NPI | 1235159872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY LCSW R034069-1) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY CASAC 1578) |
| 102L00000X Psychoanalyst (Licence: NY 000033) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-09-09 |