| NPI | 1043503808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR0068515) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 277370) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 173098) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2022-07-11 |