| NPI | 1144232315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: TX G8810) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX G8810) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX G8810) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2023-01-18 |