| NPI | 1093822025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TX J9514) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C203006) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2026-06-29 |