| NPI | 1164817094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 154827) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 154827) |
| 208D00000X General Practice (Licence: CA 154827) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2021-07-19 |