NPI | 1518455666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX T9624) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX T9624) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NM MD2023-0557) | |
Enumeration Date | 2018-04-24 |
Last Update Date | 2024-02-01 |