| NPI | 1518167055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00004685) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |