NPI | 1598875429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R031689-1) |
Additional Taxonomies | 104100000X Social Worker |
102L00000X Psychoanalyst (Licence: NY R031689-1) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2012-01-11 |