| NPI | 1104493246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA OS025416) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 327459-01) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA OT024851) | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2026-08-21 |