| 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 |