| NPI | 1275738213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA PC005385) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0003117) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2010-03-17 |