| NPI | 1235222589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000754) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 000652) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2007-07-08 |