| NPI | 1447213277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 66174) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: PR 15738) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 66174) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2014-10-14 |