| NPI | 1730417882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY L.P. # 000255-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY L.M.S.W. # 044-120) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |