| NPI | 1568658615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000388-1) |
| 102L00000X Psychoanalyst (Licence: NY 000256-1) | |
| Enumeration Date | 2007-09-22 |
| Last Update Date | 2013-05-10 |