| NPI | 1306144308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY NY011352) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY NY011352) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |