| 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 |