| NPI | 1629822879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AL 1-185019) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-185019) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2026-09-01 |