NPI | 1790313286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301515049) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A182713) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301515049) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI MD20191) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-30 |
Last Update Date | 2025-08-18 |