NPI | 1710204086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NJ 25MA09960000) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 269041) |
Enumeration Date | 2010-04-27 |
Last Update Date | 2022-10-15 |