NPI | 1922212026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: PSY12240) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY12240) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2007-07-08 |