NPI | 1104080134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1044) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 081000312) |
103TP0814X Psychologist, Psychoanalysis | |
Enumeration Date | 2008-07-18 |
Last Update Date | 2018-03-17 |