| NPI | 1063407054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 01778) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 01778) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 01778) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 01778) | |
| 103TH0100X Psychologist, Health Service (Licence: NY 01778) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: NY 01778) | |
| 103T00000X Psychologist (Licence: NY 01778) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2025-09-11 |