| NPI | 1174661797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 005169) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 005169) |
| 103TP0814X Psychologist Psychoanalysis (Licence: NY 005169) | |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2022-07-21 |