| 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 |