NPI | 1528181724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY PSY007206) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY PSY007206) |
103TP0814X Psychologist, Psychoanalysis (Licence: NY PSY007206) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-07-08 |