| NPI | 1134540438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX T4708) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC01498) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10072954) | |
| Enumeration Date | 2014-01-04 |
| Last Update Date | 2023-05-05 |