NPI | 1376799403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA MD60591753) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60591753) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301095054) | |
Enumeration Date | 2008-08-08 |
Last Update Date | 2020-12-07 |