NPI | 1205465531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A199152) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2025-00231) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A199152) | |
Enumeration Date | 2020-04-07 |
Last Update Date | 2025-06-10 |