| NPI | 1649245069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 17303) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: LA 17303) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: LA 17303) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2015-05-05 |