| NPI | 1538432497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: MA MA306) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA MA306) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |