| NPI | 1811481203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: CO NLC.0108433) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO NLC.0108433) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |