| NPI | 1730243981 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PR 13902)  | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 13902)  | 
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA C158512)  | |
| Enumeration Date | 2006-12-21 | 
| Last Update Date | 2025-07-11 |