| NPI | 1003926023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G68801) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA G068801) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA G68801) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-01-23 |