| NPI | 1306377056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VT 032-0133941) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2022-06-14 |