| NPI | 1689801417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY 278517) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 278517) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 248958) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MA 248958) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2023-05-23 |