| NPI | 1407311004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A192397) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A192391) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2026-04-17 |