| NPI | 1407444771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 102L00000X Psychoanalyst | |
| 101YP2500X Counselor, Professional (Licence: AZ LAC-16779) | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |