| NPI | 1306194675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U7086) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX 760265) |
| 225700000X Massage Therapist (Licence: TX MT132273) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 746942) | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2023-10-31 |