| NPI | 1437838596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK F084240377) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |