| NPI | 1508060799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS005928L) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: PA NA) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2011-01-24 |