| NPI | 1497982409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 3554) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 01639) |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |