| NPI | 1770774077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL SW9763) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY PRO18137) |
| 102L00000X Psychoanalyst | |
| 1041C0700X Social Worker, Clinical (Licence: NY PRO 18137 1) | |
| 1041C0700X Social Worker, Clinical (Licence: FL PRO181371) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2010-10-15 |