| NPI | 1588641153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: VT 098-0000149) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000472-1) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2009-09-03 |