| NPI | 1982850665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX p4552) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: TX p4552) |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: TX p4552) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: TX p4552) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: TX p4552) | |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: TX p4552) | |
| 2084P0805X (Licence: TX P4552) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2024-03-19 |