| NPI | 1982806535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA PS006124L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS006124L) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2014-03-14 |