| NPI | 1902868268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C143188) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0008456) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ MA 042335) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-09-08 |