| NPI | 1225479934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R036265) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY R036365) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |