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 |