| NPI | 1891743548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: CO 38091) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO 38091) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-03-18 |