| NPI | 1083999429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: CA LCS 15292) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 15292) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |