| NPI | 1174146120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA MD.MD.70024375) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125.075949) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4351050447) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD.MD.70024375) | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2026-02-16 |