| NPI | 1114270790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2629) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: OR C2629) |
| Enumeration Date | 2012-10-20 |
| Last Update Date | 2012-10-20 |