| NPI | 1760898324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NH 24485) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 89758) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 30756) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 89758) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 30756) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2024-01-11 |