| NPI | 1801174594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: CO 5673) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 2523) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |