| NPI | 1902328149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: MFT32138) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: MFT32138) |
| 106H00000X Marriage & Family Therapist (Licence: MFT32138) | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2022-07-21 |