NPI | 1598940108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1083) |
Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: Diplomate5452) |
Enumeration Date | 2008-01-02 |
Last Update Date | 2008-01-02 |