| NPI | 1710216254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: CA LCS5115) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS5115) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |