| NPI | 1649585159 |
|---|---|
| Former Name | NATASHA KIRYANKOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA MD451336) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT197900) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2018-04-20 |