| NPI | 1780899419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MK24198) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |