| NPI | 1881873529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AK LPC238) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AK LPC238) |
| 102L00000X Psychoanalyst (Licence: AK LPC238) | |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |