| NPI | 1639607740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME158480) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 320439) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA1040300) | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2023-10-25 |