| NPI | 1013334713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC3373) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC007720) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC007720) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC007720) | |
| 102L00000X Psychoanalyst (Licence: GA LPC007720) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2023-07-18 |