| NPI | 1154682409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: MN 62384) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2021-04-20 |