| NPI | 1710096037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 3383) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 3383) |
| 103TP0814X Psychologist, Psychoanalysis (Licence: NM 3383) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-10-24 |