| NPI | 1104232768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: OK 30689) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OK 30689) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 30689) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2022-07-21 |