| NPI | 1770102717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: OH 35.153031) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2025-05-28 |