| NPI | 1396962890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY R053798-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY R053798-1) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |