| NPI | 1447278668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX D5775) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-07-09 |