| NPI | 1821006156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 6104) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: OH 6104) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-06-25 |