| NPI | 1235462466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0814X Psychologist Psychoanalysis (Licence: VA 0810004877) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2022-03-18 |