| NPI | 1649341413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000207) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000685) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2010-04-08 |