| NPI | 1538711619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R-13075) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2024-06-11 |