| NPI | 1114304706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY PR021772) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000711-1) |
| Enumeration Date | 2015-05-03 |
| Last Update Date | 2015-05-03 |