NPI | 1376694380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA RN35003) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2007-07-08 |