| NPI | 1013407386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 001020) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10001685) |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2024-10-01 |