| NPI | 1558716035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX S6575) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX S6575) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX BP10056555) | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2021-07-26 |