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