| NPI | 1730277849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OH 35.096751) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: DC MD035931) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.096751) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-02-29 |