| NPI | 1619426590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2470A2800X Technician, Health Information, Assistant Record Technician | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2020-12-09 |