| NPI | 1376904284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 283960) |
| Additional Taxonomies | 2084P0805X (Licence: MA 283960) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2023-08-08 |