NPI | 1760571947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME101955) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 42000) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2025-08-19 |