| NPI | 1902154750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R039008-1) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000137-1) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2019-04-10 |