| NPI | 1811574544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: TX 39879) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: TX 09946) |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2021-03-27 |