| NPI | 1437195385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 125601) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 125601) |
| 101YM0800X Counselor, Mental Health (Licence: NY 125601) | |
| 2080H0002X (Licence: NY 125601) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-18 |