| NPI | 1588016976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX S4471) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX BP10056557) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2024-10-24 |