| NPI | 1649055815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 103TP0814X Psychologist, Psychoanalysis | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-10-19 |