| NPI | 1093912214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 012267) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 012267) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-08 |