| NPI | 1508186354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: RI MD14644) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VT 042.0013926) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2022-06-03 |