NPI | 1497966691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000193) |
Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: DC PSY1000193) |
Enumeration Date | 2007-05-28 |
Last Update Date | 2007-07-08 |