NPI | 1255641833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy14383) |
Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: CA Psy14383) |
Enumeration Date | 2010-10-15 |
Last Update Date | 2010-10-15 |