| NPI | 1528562238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TN 64019) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA NA) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-06-28 |