NPI | 1316142375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY RO46055-1) |
Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY RO46055-1) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2024-08-28 |