| NPI | 1952566044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 273R00000X Psychiatric Unit | |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |