| NPI | 1083183552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A186648) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 172V00000X Community Health Worker (Licence: CA A186648) | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2026-07-15 |