| NPI | 1336199702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R050972) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 1900143) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2010-12-29 |