| NPI | 1558504191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: UT 7770041-1205) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 74047) |
| 103T00000X Psychologist (Licence: UT 7770041-1205) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 70664) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2024-07-05 |