| NPI | 1588745723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 47288) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: WI 47288) |
| 207Q00000X Family Medicine (Licence: WI 47288) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 47288) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2025-02-19 |