| NPI | 1679944979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 5750) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 5750) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2024-12-23 |