| NPI | 1043593569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME147285) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A53534) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 0629230) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2024-02-27 |