| NPI | 1801054374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DC MD038735) |
| Additional Taxonomies | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: DC MD038735) |
| 251S00000X (Licence: DC MD038735) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2020-08-13 |