| NPI | 1588705594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TF0200X Psychologist, Forensic | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical (Licence: NY PRO12459-1) | |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2007-07-08 |