| NPI | 1124236872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY LP 000508-1) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY LMT 000402-1) |
| 106H00000X Marriage & Family Therapist (Licence: FL LMT 1393) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |