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 |