| NPI | 1457550246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A10890) |
| Additional Taxonomies | 2084P0805X (Licence: CA 20A10890) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2024-07-08 |