| NPI | 1073678983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD H0073836) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MT 7918) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2017-01-19 |