| NPI | 1790804565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 6686) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 6686) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 6686) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 6686) | |
| 103T00000X Psychologist (Licence: NY 6686) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 6686) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2009-09-21 |