NPI | 1255952917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 71393) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 261089) |
Enumeration Date | 2020-05-04 |
Last Update Date | 2024-08-08 |