| NPI | 1396834164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MA04063900) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME62099) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-03-08 |