| NPI | 1245641042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 070658-1) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000824-1) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |