| NPI | 1891918587 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NJ 26nc50112) | 
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000815) | 
| Enumeration Date | 2007-04-11 | 
| Last Update Date | 2012-07-16 |