| NPI | 1942487525 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101257309)  | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 685l)  | 
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MS 21982)  | |
| Enumeration Date | 2008-01-26 | 
| Last Update Date | 2020-01-20 |