NPI | 1427072727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 1466) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 010075) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2007-07-08 |