NPI | 1326599762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06061) |
Additional Taxonomies | 102L00000X Psychoanalyst (Licence: DC PSYA00099) |
Enumeration Date | 2016-10-20 |
Last Update Date | 2019-06-11 |