| NPI | 1174768527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 259519) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 259519) |
| 283Q00000X Psychiatric Hospital (Licence: NY 259519) | |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2013-04-17 |