| NPI | 1801017504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 017572-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017572-1) |
| 103T00000X Psychologist | |
| 103TP0814X Psychologist Psychoanalysis (Licence: NY 017572-1) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-04-26 |