| NPI | 1134342041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: CA A91043) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: CA A90143) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A90143) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-12-23 |