NPI | 1174847784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1000118) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSY1000118) |
103TP0814X Psychologist, Psychoanalysis (Licence: DC PSY1000118) | |
Enumeration Date | 2010-03-25 |
Last Update Date | 2010-03-25 |