| NPI | 1235755406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 95907) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE C7-0007345) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-08-20 |