NPI | 1386879377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 82984) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 03589) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 34011363) | |
Enumeration Date | 2009-05-20 |
Last Update Date | 2021-02-08 |