| NPI | 1285693366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 00979) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: IA 00979) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2025-04-16 |