| NPI | 1578879979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH ACKNOWLEDGEMENT LETT) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 34011374) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2020-04-26 |