| NPI | 1013178334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: SC MMD.35843 TL) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 149375) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2013-08-02 |