| NPI | 1598826604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NY 014940) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 014940) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |