| NPI | 1679891204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.143647) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 051344) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX R8979) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2024-07-09 |