| NPI | 1871072165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 5929) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 5929) |
| 103TP0814X Psychologist, Psychoanalysis (Licence: PR 5929) | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2022-05-13 |