| NPI | 1336721943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: UT 13896707-1205) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ R78685) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2024-04-05 |