NPI | 1154490415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 006614) |
Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 6614) |
103T00000X Psychologist (Licence: NY 6614) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: NY 6614) | |
Enumeration Date | 2006-11-08 |
Last Update Date | 2015-10-27 |