| NPI | 1194351189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A179833) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A179833) |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2024-06-28 |