| NPI | 1285924258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ R73405) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR MD226043) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2025-08-26 |