NPI | 1154856607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T2251) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 00000000000000000000) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX T2251) | |
Enumeration Date | 2017-04-21 |
Last Update Date | 2024-07-23 |