| NPI | 1245434547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0805X (Licence: CA A97151) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV LL1613) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2022-02-11 |