| NPI | 1831129907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME33314) |
| Additional Taxonomies | 2084P0805X (Licence: FL ME33314) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2009-07-14 |