| NPI | 1790905503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: NY R0326211) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY R0326211) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |