| NPI | 1306900667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079944) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 0766) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2013-10-03 |