| NPI | 1427443332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60931357) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 263561) |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: WA MD60931357) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2021-02-19 |