| NPI | 1114339504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R056116-1) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY R056116-1) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2020-07-13 |