| NPI | 1649472804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A115386) |
| Additional Taxonomies | 2084P0805X (Licence: HI 15073) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2026-08-04 |