| NPI | 1356419766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MD D0067915) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0067915) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-07-17 |