| NPI | 1629152541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2003-00281) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: NC 2003-00281) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C160213) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 20030081) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-05-24 |