| NPI | 1093860926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR043154) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000203) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |