NPI | 1811065329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MA 213398) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 213398) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2011-11-01 |