| NPI | 1629015144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301012886) |
| Additional Taxonomies | 103TP0814X Psychologist Psychoanalysis (Licence: MI 6301012886) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-10-23 |