| NPI | 1164498713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH 1421) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 7915) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 7915) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2018-11-30 |