| NPI | 1619001047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 014741) |
| Additional Taxonomies | 103TP0814X Psychologist Psychoanalysis (Licence: NY 000279) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-11 |