| NPI | 1679630644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G143220) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 61458) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 35974) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2021-08-13 |