| NPI | 1598883233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME145316) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A97068) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 63923) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2022-05-04 |