| NPI | 1073389342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 346742-1205) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: UT 346742-1205) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |