| NPI | 1336358894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000639-1) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000421-1) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |