| NPI | 1235340357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015424-1) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2018-07-02 |