| NPI | 1255783965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 32391) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 32391) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 32391) | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2019-05-08 |