| NPI | 1609907237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000620-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 0003445-1) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-06-08 |