NPI | 1477132355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DC MD600004492) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 289437) |
Enumeration Date | 2021-04-06 |
Last Update Date | 2025-07-14 |