| NPI | 1518038199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: TX M3944) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: LA 025663) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 025663) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M3944) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-10-22 |