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 |