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 |