| NPI | 1396957742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000305) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 000030) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2011-10-17 |