| NPI | 1255350799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 005093-1) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 437-1) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-09-10 |