| NPI | 1700965605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000899) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 05 000209) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2021-09-29 |