| NPI | 1871824953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020224) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 020224) |
| 102L00000X Psychoanalyst (Licence: NY 020224) | |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2013-09-05 |