NPI | 1255762696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NC 980185) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 197705) |
Enumeration Date | 2013-12-11 |
Last Update Date | 2020-10-06 |