| NPI | 1053554741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: VA 0101254321) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: DC MD041481) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 240695) | |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2013-06-25 |