| NPI | 1518323922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083368-1) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 083368-1) |
| 101YP2500X Counselor, Professional (Licence: NY 083368-1) | |
| 102L00000X Psychoanalyst (Licence: NY 083368-1) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2024-03-23 |