| NPI | 1659993335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: SC 83132) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: SC LL83132) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2024-01211) | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2025-09-02 |