| NPI | 1255372512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: WV 15280) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WV 15280) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2016-06-20 |