| NPI | 1013606227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4351056845) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801092879) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2026-06-16 |