| NPI | 1902077035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A95004) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 257424) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A95004) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 235957) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2016-07-31 |