| NPI | 1225799604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: CA MFC27747) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC27747) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |