| 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 |