| 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 |