| NPI | 1609118942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A131475) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A131475) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA B9276678) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2021-02-03 |