| NPI | 1831779792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 339070) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A203078) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 97621) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2026-03-11 |