| NPI | 1114267952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0814X Psychologist Psychoanalysis (Licence: MD 01510) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MD 01510) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |