| NPI | 1093414104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL LT4556) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: FL LT4556) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |