| NPI | 1407035397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY LCAT001003) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT27323) |
| 106H00000X Marriage & Family Therapist (Licence: NY 000755-1) | |
| 102L00000X Psychoanalyst (Licence: NY 000838-1) | |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2009-04-14 |