| NPI | 1629457379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: CO NLC0105147) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO NLC0105147) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2023-12-27 |