| NPI | 1104976588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA C40097) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX F1554) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA C40097) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX F1554) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |