| NPI | 1881607687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 026038) |
| Additional Taxonomies | 2084P0805X (Licence: CT 026038) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-02-09 |