NPI | 1578621553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0101029215) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: VA 0101029215) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2007-07-08 |