NPI | 1255421822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D74977) |
Additional Taxonomies | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: AR C-6218) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD442910) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2012-12-06 |