NPI | 1407125594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD d44078) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MD d44078) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD d44078) | |
Enumeration Date | 2011-12-20 |
Last Update Date | 2011-12-20 |