| NPI | 1629227426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000890-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 09137-1) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2020-11-05 |