| NPI | 1750645743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A127530) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A127530) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R8227) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2022-12-08 |