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 |