NPI | 1609917970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 4081) |
Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis |
Enumeration Date | 2007-02-09 |
Last Update Date | 2007-08-29 |