| NPI | 1962925867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 6143) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA 6143) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2022-07-21 |