NPI | 1295979458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 014624) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
103TP0814X Psychologist, Psychoanalysis | |
Enumeration Date | 2009-04-30 |
Last Update Date | 2015-05-08 |