NPI | 1598171589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 95004156) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 22676670) |
Enumeration Date | 2014-07-10 |
Last Update Date | 2016-10-20 |