NPI | 1770644064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35-076939) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101257433) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD419785) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2021-11-16 |