| NPI | 1134185192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 052898) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 052898) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-12-24 |