| NPI | 1679323786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA PTL15343) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA PTL15343) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-09-12 |