NPI | 1063559714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 002215) |
Additional Taxonomies | 103TP0814X Psychologist Psychoanalysis (Licence: NY 000593) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-07-08 |