| NPI | 1679657589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 2001-01351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2001-01351) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2001-01351) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |