| NPI | 1487655916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA MD 039457E) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD039457E) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2011-04-06 |