| NPI | 1235515750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924255) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: CO NLC0104274) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2024-03-28 |