| NPI | 1972760742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY PR038123-1) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |