| NPI | 1508838780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ MA60478) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MD00046495) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-07-08 |