| NPI | 1871701086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: PA PS-004151) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS-004151) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS-004151) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: PA PS-004151) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2007-07-08 |