| NPI | 1083145338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0091524) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD D0091524) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0091524) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2022-09-19 |