| NPI | 1356540173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4093) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NY 017163) |
| 103TC0700X Psychologist, Clinical (Licence: NY 017163) | |
| 103TH0004X Psychologist, Health (Licence: NY 017163) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2011-01-31 |