| NPI | 1417451394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.145419) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 91730) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 0002110) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.145419) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-07-12 |