| NPI | 1073603213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI 4301083848) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-07-14 |