| NPI | 1194056440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01026000) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 102L00000X Psychoanalyst | |
| 1041C0700X Social Worker, Clinical (Licence: NY R015479-1) | |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |