| NPI | 1679988836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX U2268) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: DC DO034474) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: VA 0102204389) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: DC DO034474) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX U2268) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2023-05-01 |