| NPI | 1740725688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 000668-1) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 179956-1) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 12427) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: VI PH.D Certificate) | |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-02 |