| NPI | 1245080944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 17119) |
| Additional Taxonomies | 2084P0805X (Licence: CA 17119) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 390200000X) | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-07-03 |