| NPI | 1356383616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA G57798) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: CA G57798) |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: CA G57798) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2022-01-25 |