NPI | 1659672574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0013018) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD454255) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DE C1-0013018) | |
Enumeration Date | 2010-11-09 |
Last Update Date | 2019-06-03 |