| NPI | 1073088605 |
|---|---|
| Former Name | CHRISTINE RAE PENNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NJ 48PA00001600) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 001047) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2021-11-14 |