| NPI | 1902324304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A13105) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A13105) |
| 101YP2500X Counselor Professional (Licence: NC A13105) | |
| 102L00000X Psychoanalyst (Licence: NC A13105) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |