| NPI | 1447776323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020429) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 020429) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 020429) | |
| 103TF0000X Psychologist, Family (Licence: NY 020429) | |
| 103TH0004X Psychologist, Health | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 020429) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: NY 020429) | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |