| NPI | 1700068897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 246808) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 37928) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2012-02-01 |