| NPI | 1174916936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX 747566) | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2022-04-18 |