NPI | 1730419417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G51542) |
Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA G51542) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G51542) | |
Enumeration Date | 2010-01-03 |
Last Update Date | 2014-05-28 |