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 |