| NPI | 1831109610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0805X (Licence: NY 169019-1) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 30862) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101025623) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 169019-1) | |
| 2084P0805X (Licence: NJ 30862) | |
| 2084P0805X (Licence: VA 0101025623) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2025-09-11 |