| NPI | 1609127653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 9253197) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 87613-1) |
| Enumeration Date | 2012-09-29 |
| Last Update Date | 2016-03-14 |