| NPI | 1811493257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 305246) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 23954) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 291345) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-12-03 |