| NPI | 1164509295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2007-01558) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 143778) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-01-07 |