NPI | 1528194941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 238065) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA L-228161) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 238065) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2021-09-15 |