NPI | 1548324593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 000281-1) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NY 000281-1) |
101YM0800X Counselor, Mental Health (Licence: NY 000281-1) | |
103TR0400X Psychologist, Rehabilitation (Licence: NY 000281-1) | |
Enumeration Date | 2006-12-21 |
Last Update Date | 2009-10-01 |