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 |