NPI | 1598068579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09995300) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME129604) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MA09995300) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME129604) | |
Enumeration Date | 2010-12-13 |
Last Update Date | 2018-04-30 |