| NPI | 1346567294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 33292) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX P9301) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 164669) | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2023-11-14 |