| NPI | 1770622805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CT 884) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CT 884) |
| 103TF0000X Psychologist Family (Licence: CT 884) | |
| 103TP0814X Psychologist Psychoanalysis (Licence: CT 884) | |
| 103T00000X Psychologist (Licence: CT 884) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |