| NPI | 1255772166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD482572) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2024-08-22 |