| NPI | 1902168651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 100814) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 100814) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 58739) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2024-07-17 |