| NPI | 1760609374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000027-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100020800) |
| 106H00000X Marriage & Family Therapist (Licence: NY 000538-1) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-06-13 |