| NPI | 1538321336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0805X (Licence: NY 269862-1) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 003326) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2013-09-12 |