| NPI | 1801664131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS17115) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA LCS17115) |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2024-05-08 |