| NPI | 1023423415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA10292500) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DE C7-0005569) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-05-20 |