NPI | 1356497028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C132738) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA C132738) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D28615) | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2022-09-09 |