| NPI | 1053633511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 243026) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: NY 197061) |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CT 036505) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 036505) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 197061) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 197061) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 036505) | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2019-04-26 |