| NPI | 1285743997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: SC 1190) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: TX 23751) |
| 103TC0700X Psychologist Clinical (Licence: TX 23751) | |
| 103TP0814X Psychologist Psychoanalysis (Licence: TX 23751) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-10-22 |