NPI | 1508077512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities (Licence: NY 177971) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 177971) |
2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY 177971) | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2007-07-08 |