| NPI | 1114243805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MB09435000) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NY 270608) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 62969) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2018-06-05 |