| NPI | 1083632129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 1824) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 0003361) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-12-16 |