NPI | 1912055146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: WI 1471-124) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT25211) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2025-03-20 |