NPI | 1306024930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0073253) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD D0073253) |
Enumeration Date | 2008-02-06 |
Last Update Date | 2020-03-23 |