| NPI | 1639260201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A52993) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA A52993) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-03-07 |