| NPI | 1164565396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002705-1) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 000663-1) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-10-09 |