| NPI | 1295128676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC 6044) |
| 102L00000X Psychoanalyst (Licence: NY 000635) | |
| 102L00000X Psychoanalyst (Licence: CA RP43) | |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2020-06-23 |