| NPI | 1841587508 |
|---|---|
| Former Name | HEATHER FOROUHAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 262903) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 052356) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2015-12-11 |