| NPI | 1720054083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC9356) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-9356) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 200300614) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2023-06-26 |