| NPI | 1992135677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000628) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 000628) |
| 106H00000X Marriage & Family Therapist (Licence: NY 000628) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |