| NPI | 1255867131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 85458) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX w8579) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 96165) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX w8579) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: SC 96165) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 341956) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 85458) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 341956) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2026-09-18 |