NPI | 1205836996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A97295) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 16194) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2024-05-22 |