| NPI | 1407025778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW992265) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CO NCPsyP) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |