| NPI | 1073187902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019160) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 103TC0700X Psychologist, Clinical (Licence: PA PS019646) | |
| Enumeration Date | 2021-05-15 |
| Last Update Date | 2023-07-01 |