| NPI | 1669661591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 0852) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: MS 0852) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |