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 |