| NPI | 1578603338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: SC MD35578) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 235726) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2017-12-20 |