NPI | 1649480419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: FL mt1376) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1376) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2007-07-08 |