| NPI | 1609550706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04909) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL LPC04909) |
| 102L00000X Psychoanalyst (Licence: AL LPC04909) | |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2025-01-08 |