| NPI | 1427170968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 010149-1) |
| 103TP0814X Psychologist Psychoanalysis (Licence: NY 010149-1) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |