| NPI | 1164642310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: MA 78737) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MA 78737) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2007-07-08 |