| NPI | 1649499286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH1448) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 0005951) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |