| NPI | 1699287524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 103TP0814X Psychologist Psychoanalysis | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |