NPI | 1326113721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 011217) |
Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 011217) |
103TP2701X Psychologist, Group Psychotherapy (Licence: NY 011217) | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2020-10-27 |