| NPI | 1649849597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C2-0024809) |
| Additional Taxonomies | 2278E1000X Respiratory Therapist, Certified, Educational |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2025-07-29 |