NPI | 1760418560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: WA MD00043497) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA MD00043497) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2015-02-26 |