| NPI | 1942951850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A17191) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A17191) |
| 102L00000X Psychoanalyst (Licence: NC A17191) | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |