| NPI | 1164606133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 02055) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: MD 02055) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MD 02055) | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |