| NPI | 1679713259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101272680) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VT 042-0012387) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 238545) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101272680) | |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2021-08-26 |