| NPI | 1073699559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2005-01564) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 20A7836) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: SC 0479) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2021-02-23 |