| NPI | 1588878391 |
|---|---|
| Former Name | RUBY SIDDIQUI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 50414) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |