| NPI | 1245893668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PR 24428) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL Q552537857250) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2025-07-21 |