NPI | 1891900510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000052) |
Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NY 137259) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2011-05-18 |