NPI | 1083095541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX S4147) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-10497) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-06-10 |
Last Update Date | 2023-02-14 |