| NPI | 1457494171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2-3108) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: TX 2-3108) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-12 |