| NPI | 1154608529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000189) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY LCAT 000062) |
| Enumeration Date | 2011-11-13 |
| Last Update Date | 2011-11-13 |