NPI | 1316366347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA A148928) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY 316492-01) |
2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NJ 25MA11471200) | |
Enumeration Date | 2014-04-07 |
Last Update Date | 2023-09-22 |