| NPI | 1518075423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61150163) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NH RT1407) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH RT1407) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2022-12-14 |