| NPI | 1336371582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ME MD20684) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P4121) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A118707) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2026-03-31 |