| NPI | 1548317456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NJ 25MA08700200) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA08700200) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 255103) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2019-04-03 |