| NPI | 1497076236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CO 0055399) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 0055399) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 164854) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2024-05-14 |