| NPI | 1255650198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018555) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 018555) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2017-01-15 |