| NPI | 1609802388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 024173) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 024173) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-07-12 |