| NPI | 1487898599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS20041) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA LCS20041) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |