| NPI | 1871970996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: CA PSY10410) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA PSY10410) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |