| NPI | 1245459049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: OH I 0004174) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 0004174) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |