NPI | 1356560007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX P4464) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 060521) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO DR.0059735) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2024-06-17 |