| NPI | 1770762171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 1333-LCPC) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |