| NPI | 1336736990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10001040) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2023-10-25 |