| 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 |