| NPI | 1871693952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0805X (Licence: AZ 28774) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY WY16513C) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2025-08-06 |