| NPI | 1548747322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 001025) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO NLC.0109648) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2019-10-11 |