| NPI | 1083735054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AR E-6567) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: AR E-6567) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2010-06-23 |