| NPI | 1639232572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 018061) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 060059-1) |
| 103TP0814X Psychologist Psychoanalysis (Licence: NY 018061) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-02-18 |