| NPI | 1881041770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 05-001675) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 102L00000X Psychoanalyst | |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |