| NPI | 1316309503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD048611) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 61581) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036153156) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A169589) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2020-12-04 |