| NPI | 1912974577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 04-29570) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KS 04-29570) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AR E-6923) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: KS 04-29570) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2024-05-13 |