| NPI | 1275984155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A194228) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101Y00000X Counselor | |
| 174400000X Specialist (Licence: CA PTL7165) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-03-13 |