| NPI | 1881814168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 029140R) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 029140R) |
| 1041C0700X Social Worker, Clinical (Licence: NY 029140R) | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-08 |