| NPI | 1962734319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: WA LW00009351) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA LCS8399) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |