| NPI | 1881368306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX 1881368306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX 1881368306) | |
| Enumeration Date | 2021-08-07 |
| Last Update Date | 2025-04-07 |