| NPI | 1174152342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 22727) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NV 1556) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2026-04-30 |