| NPI | 1558417535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 011088) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 103TP0814X Psychologist, Psychoanalysis | |
| 103T00000X Psychologist (Licence: NY 011088) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |