| NPI | 1073719217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071170-1) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY certification) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-08-20 |