| NPI | 1447478938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: WA MD 60476301) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD 60476301) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA MD 60476301) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-10-02 |