| NPI | 1396876264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA G75440) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ID M11081) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2021-09-10 |