NPI | 1518123934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.124244) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125052582) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA MD.60385637) | |
Enumeration Date | 2008-08-05 |
Last Update Date | 2013-09-12 |