| NPI | 1114909314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0814X Psychologist Psychoanalysis (Licence: CA CERTIF. PSYCHOANAYST) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCSW 18438) |
| 1041C0700X Social Worker Clinical (Licence: OR LCSW 2365) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-07-08 |