| NPI | 1821044033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 2805-57) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WI 2805) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-12-16 |