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 |