| NPI | 1578074597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: VA 0139000014) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0139000014) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2023-08-09 |