| NPI | 1003099680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 070978) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000822) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2016-10-20 |