| NPI | 1689753154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 078040-1) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000811) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2011-01-30 |