| NPI | 1184902694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 276915) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: NY 276915) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2024-06-24 |