| NPI | 1013646363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 22093) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2023-12-22 |