| NPI | 1285078451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 142566) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX Q5589) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2016-05-25 |