NPI | 1114000155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G45670) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA G45670) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2024-03-25 |