NPI | 1952777872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 007542) |
Additional Taxonomies | 102L00000X Psychoanalyst (Licence: GA 007542) |
101YM0800X Counselor, Mental Health (Licence: GA 007542) | |
Enumeration Date | 2015-08-14 |
Last Update Date | 2021-09-08 |