| NPI | 1639548639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME139678) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: DC MTL002830) |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2019-06-20 |