| NPI | 1649217571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101240546) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301077025) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301077025) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2015-08-06 |