| NPI | 1477087237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 63785) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 113304) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN H418028519813) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2023-11-29 |