| NPI | 1932428653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL 29990) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G23333) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AL 29990) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA g23333) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |