| NPI | 1457901548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R057725-1) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-10-07 |