| NPI | 1184700122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 040637) |
| Additional Taxonomies | 2084P0805X (Licence: CT 040637) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2009-07-02 |