NPI | 1730393844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R023124-1) |
Additional Taxonomies | 102L00000X Psychoanalyst |
Enumeration Date | 2007-05-09 |
Last Update Date | 2010-04-14 |