| NPI | 1013274380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A130354) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2024-07-19 |