| NPI | 1508399890 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 303950)  | 
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CA 19424)  | 
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 303950)  | |
| Enumeration Date | 2017-04-04 | 
| Last Update Date | 2024-07-18 |