| NPI | 1942628128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A138547) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A138547) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A138547) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2021-06-25 |