NPI | 1538233440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NY 439443-1) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2007-07-08 |