| NPI | 1205086188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA PS006186L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS006186L) |
| 103TR0400X Psychologist, Rehabilitation (Licence: PA PS006186L) | |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2013-01-29 |