| NPI | 1821114885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 7506-1) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NY 7506-1) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-02-09 |