| NPI | 1396822201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000680) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ SC04390500) |
| 1041C0700X Social Worker, Clinical (Licence: CA 21977) | |
| 1041C0700X Social Worker, Clinical (Licence: NY R0531118) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 0035900) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-05-21 |