| NPI | 1962766105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 6613744) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 5907586) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |