| NPI | 1679777130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0071409) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0071409) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2019-02201) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2026-07-20 |