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 |