| NPI | 1417158031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: MI 6301000550) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301000550) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |