| NPI | 1245487628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 28710) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: OK 28710) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2020-05-01 |