| NPI | 1134491970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 4119) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: PR 4119) |
| 103T00000X Psychologist (Licence: PR 4119) | |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2019-04-29 |