| NPI | 1700100203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: CA MFC-26046) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NV MFT-0316) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-03-26 |