| NPI | 1407889355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A64987) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA07843600) |
| 174400000X Specialist (Licence: NJ MA78436) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2026-05-19 |