| NPI | 1386022143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3764) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: OR C3764) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2021-06-16 |