| NPI | 1477639813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 209861) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NY 209861) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NJ 25MA08429400) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA08429400) | |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2026-08-20 |