| NPI | 1740202209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G75696) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VT 0420011632) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NH 14101) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-10-18 |