| NPI | 1326509514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 009915-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 009915-1) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |