| NPI | 1962564369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2527125) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis |
| 106H00000X Marriage & Family Therapist (Licence: WI 43124) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2025-06-16 |