| NPI | 1619296241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102203757) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: VA 0102203757) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD H77587) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC DO034468) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2021-08-26 |