| NPI | 1407013543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NJ 25MA09060200) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 243889) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY 243889) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MA09060200) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2012-08-02 |