| NPI | 1366979361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 904000374) |
| 1041C0700X Social Worker, Clinical (Licence: DC 50077972) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2022-07-21 |