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 |