| NPI | 1366486961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI 4301064824) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PR 5690) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-05-24 |