| NPI | 1497008395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 1736) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 1736) |
| 101YP2500X Counselor, Professional (Licence: LA 1736) | |
| 102L00000X Psychoanalyst (Licence: LA 1736) | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |