| NPI | 1326194937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 46638) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 46638) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2014-09-08 |