| NPI | 1942401104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: OH 35-127345) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301097839) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: ND 13462) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD439827) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 01073715A) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2026-05-27 |