| NPI | 1932546462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 309345) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2024-07-25 |