| NPI | 1801942438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 005401) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 005401) |
| 103T00000X Psychologist (Licence: NY 005401) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 005401) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2015-08-04 |