NPI | 1598225849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 315429) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA PTL814) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-22 |
Last Update Date | 2024-04-08 |