| NPI | 1508048810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000942-1) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 17511) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2015-06-30 |