| NPI | 1386763324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A86463) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101251772) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101251772) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A86463) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2015-01-15 |