NPI | 1235215211 |
---|---|
Former Name | DARLENE KROT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 066551) |
Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: NY 230253) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2014-01-23 |