| NPI | 1477664704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX G2141) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: TX G2141) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-05-27 |