| NPI | 1255495412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ACN945) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 14873) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PR 14873) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2017-11-07 |