| NPI | 1568793933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904002901) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: VA 0904002901) |
| 103TF0200X Psychologist, Forensic (Licence: VA 0904002901) | |
| Enumeration Date | 2010-01-24 |
| Last Update Date | 2010-01-24 |