| NPI | 1770673030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A71498) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DC MD034421) |
| 2084N0600X (Licence: DC MD34421) | |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2026-06-29 |