| NPI | 1699008326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 044847) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CT 044847) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-10-21 |