| NPI | 1346466729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006341) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000751) |
| 103TC0700X Psychologist, Clinical (Licence: CT 006341) | |
| 1041C0700X Social Worker, Clinical (Licence: NY PO333331) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-09-17 |