| 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 |