| NPI | 1982130837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 301611-01) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 301611-01) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA11550800) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-12-19 |