| NPI | 1073887824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA PSY 5242) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA PSY 5242) |
| Enumeration Date | 2012-02-25 |
| Last Update Date | 2012-02-25 |