NPI | 1548671449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C198520) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 318758) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R2973) | |
Enumeration Date | 2014-05-13 |
Last Update Date | 2025-08-11 |