| NPI | 1851413256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000085) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: VT 098000102) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY RN1843534) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2012-02-20 |