| 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 |