| NPI | 1083292569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 187150) |
| Additional Taxonomies | 2084P0805X (Licence: CA 187150) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-10-28 |