| NPI | 1982898136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CA A101014) |
| Additional Taxonomies | 2084P0805X (Licence: CA A101014) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A101014) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2021-05-04 |