| NPI | 1588994024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: NY 002676-1) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 19289) |
| 101YM0800X Counselor, Mental Health (Licence: NY 002676-1) | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |