| NPI | 1437578192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 288719) |
| Additional Taxonomies | 103TP0016X Psychologist Prescribing (Medical) (Licence: NY 288719) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2024-04-07 |