NPI | 1770781130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 252568) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD13786) |
Enumeration Date | 2007-07-06 |
Last Update Date | 2014-02-18 |