NPI | 1093895831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 779) |
Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 000309) |
106H00000X Marriage & Family Therapist (Licence: CA MFC 8726) | |
102L00000X Psychoanalyst (Licence: NY 000309) | |
Enumeration Date | 2006-10-16 |
Last Update Date | 2007-10-11 |