| NPI | 1508975368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 029294) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA 029294) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-05-14 |