| NPI | 1295994309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A105901) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: CA A105901) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA A105901) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2021-04-22 |