| NPI | 1730230483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 823) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 823) |
| 103TF0000X Psychologist Family | |
| 103TP0814X Psychologist Psychoanalysis | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |