| NPI | 1326109976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.122696) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: OH 35.122696) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 226634) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-01-07 |