NPI | 1316149222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 47087) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 137900) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MS 08054) | |
Enumeration Date | 2007-06-03 |
Last Update Date | 2013-08-27 |