NPI | 1801502976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY P130591) |
Additional Taxonomies | 106S00000X Behavior Technician |
207R00000X Internal Medicine (Licence: NY P130591) | |
Enumeration Date | 2023-01-23 |
Last Update Date | 2025-06-16 |