| NPI | 1386772143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 262307) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A96598) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 258621) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2015-08-10 |