| NPI | 1407253537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 024355-01) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000927) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2021-07-16 |