| NPI | 1538363973 |
|---|---|
| Former Name | SHABNAM IRANTASH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 4537) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2018-11-07 |