| NPI | 1316977192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 54559-020) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VT 042-0011157) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042-0011157) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-02-12 |