| NPI | 1770334815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA PTL15711) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0805X (Licence: CA 15711) | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2025-07-01 |