| NPI | 1710645916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 00376-1) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 0005771) |
| Enumeration Date | 2021-12-04 |
| Last Update Date | 2021-12-04 |