| NPI | 1134470396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0814X Psychologist Psychoanalysis (Licence: MD 03349) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MD 03349) |
| 103TP0814X Psychologist Psychoanalysis (Licence: DC PSY1000015) | |
| 106H00000X Marriage & Family Therapist (Licence: MD 03349) | |
| 103TC0700X Psychologist Clinical (Licence: MD 03349) | |
| 103TC0700X Psychologist Clinical (Licence: DC PSY1000015) | |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2022-08-06 |