| NPI | 1760682900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: MI 6301007569) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301007569) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |