| NPI | 1780044479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 019453-1) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 019453-1) |
| 103TC0700X Psychologist Clinical (Licence: NY 019453-1) | |
| 103TP0814X Psychologist Psychoanalysis (Licence: NY 019453-1) | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |