| NPI | 1548603970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: DC MD31089) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D0059754) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MD D0059754) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: DC MD31089) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |