| NPI | 1750486619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR015721) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000258-1) |
| 1041C0700X Social Worker, Clinical (Licence: CT 000589) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-07-25 |