| NPI | 1639582976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2024-12-11 |