| NPI | 1386264927 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 71912) | 
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: MA 1019308) | 
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 1019308) | |
| Enumeration Date | 2020-04-23 | 
| Last Update Date | 2025-08-21 |