| NPI | 1891299780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC C016696) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 1041C0700X Social Worker, Clinical (Licence: FL SW10356) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2025-02-03 |