| NPI | 1861711814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NM CNS-00218) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-10-22 |