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 |