| NPI | 1326622622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 149-001730) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: IL 149-001730) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-05-12 |