| NPI | 1578739462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 3323) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 2999) |
| 103TP0814X Psychologist, Psychoanalysis (Licence: OK 2203) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |