| NPI | 1396232666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AK 230672) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61326794) | |
| Enumeration Date | 2018-04-21 |
| Last Update Date | 2024-11-21 |