| NPI | 1366746125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 270696) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: NY 270696) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2024-11-25 |