| NPI | 1356512578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C168841) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-13253) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX B0000) | |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2020-06-15 |