| NPI | 1013041631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: NJ MAO54647) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ MAO54647) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |