| NPI | 1194493833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA md450701) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |