| NPI | 1184775926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G73855) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD439017) |
| 2084P0805X (Licence: CA G73855) | |
| 2084P0805X (Licence: PA MD439017) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-06-20 |