| NPI | 1700226172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R8495) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX R8495) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2013025717) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2022-07-05 |