NPI | 1508356791 |
---|---|
Former Name | JELENA GOLDONI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 13251) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 80442) | |
Enumeration Date | 2018-05-14 |
Last Update Date | 2025-04-29 |