| NPI | 1871090324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A174272) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA A174272) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2018016212) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-04-29 |