| NPI | 1104167832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA MFC#51827) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA MFC#51827) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |