| NPI | 1477581635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2018-02476) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 21929) |
| 103T00000X Psychologist (Licence: NC 2018-02476) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-10-26 |