| NPI | 1326223660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0805X (Licence: NY 260549-01) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 11682) |
| 2084P0805X (Licence: NY 260549) | |
| Enumeration Date | 2008-01-06 |
| Last Update Date | 2024-05-07 |