| NPI | 1336888106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 60902) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI 4351049598) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: KY 60902) | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-07-10 |