NPI | 1306053285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 246269) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 246269) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2012-09-05 |