NPI | 1699873950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PR 14078) |
Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: PR 14078) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |