| NPI | 1689796021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000557) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 003216) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2007-07-08 |