| NPI | 1366618720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 7993) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 016067) |
| 103T00000X Psychologist (Licence: NY 016067) | |
| 102L00000X Psychoanalyst (Licence: MA 7993) | |
| 102L00000X Psychoanalyst (Licence: NY 016067) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2015-12-14 |