| NPI | 1376390500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT123046) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |