NPI | 1851606875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 263015) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A139052) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NY 263015) | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CA A139052) | |
Enumeration Date | 2010-08-13 |
Last Update Date | 2022-05-01 |