| NPI | 1396890067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 03436) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD 03436) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-02-22 |