| NPI | 1700909645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: TX J3945) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: TX J3945) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2007-07-08 |