| NPI | 1053728618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY P93864) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |