| NPI | 1447263876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301074082) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 4301074082) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2017-02-02 |