| NPI | 1407359722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T7072) |
| Additional Taxonomies | 2084P0805X (Licence: TX T7072) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2025-08-18 |