| NPI | 1811335672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A154361) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 284727) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC LL35818) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2026-03-26 |