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 |