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 | 2024-10-09 |