| NPI | 1598813248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX L5599) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX L5599) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-12-28 |