| NPI | 1740353259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000737) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R044037) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-09 |