NPI | 1134501893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A173313) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301107278) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A173313) | |
Enumeration Date | 2015-06-18 |
Last Update Date | 2023-10-12 |