| NPI | 1205041548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: MD 11310) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: DC LC50077735) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-09 |