| NPI | 1215267224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical (Licence: NY R033145-1) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |