| NPI | 1306970272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000878) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000360) |
| 221700000X Art Therapist (Licence: NY 000360) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-03-21 |