| NPI | 1598392987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: DC DO210011732) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: pending) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-10-15 |