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 |