| NPI | 1639821630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451021914) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6451021914) |
| 101YP2500X Counselor, Professional (Licence: MI 6451021914) | |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |