| NPI | 1700011442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11164) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH11164) |
| 101YP2500X Counselor, Professional (Licence: FL MH11164) | |
| 102L00000X Psychoanalyst (Licence: FL MH11164) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2016-03-23 |