| NPI | 1215385190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A167771) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA A167771) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2024-04-29 |