NPI | 1356637649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 302161) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL MD32433) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: SC MD37287) | |
Enumeration Date | 2011-06-24 |
Last Update Date | 2021-07-15 |