| NPI | 1790865301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R021152) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000232-1) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |