| NPI | 1295733715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 172561) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NY 172561) |
| 2084P0805X (Licence: NY 172561) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2008-06-24 |