| NPI | 1184087132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD468549) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD468549) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT219443) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2022-12-04 |