| NPI | 1679781900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 12566) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY r0322761) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-06-11 |