| NPI | 1063759157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFT40016) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-10 |