| NPI | 1164785614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA MD60556847) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301113709) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC LL34648) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2024-02-19 |