NPI | 1366979361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 102L00000X Psychoanalyst |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 904000374) |
1041C0700X Social Worker, Clinical (Licence: DC 50077972) | |
Enumeration Date | 2017-05-22 |
Last Update Date | 2022-07-21 |