NPI | 1609108216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 011273) |
Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 011273) |
Enumeration Date | 2010-02-06 |
Last Update Date | 2010-02-06 |