| NPI | 1801019237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000292-1) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 023942-1) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |