NPI | 1003240284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25431) |
Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: CA 25431) |
Enumeration Date | 2013-08-24 |
Last Update Date | 2013-08-24 |