| NPI | 1801173893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 80886) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 104100000X Social Worker | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: ND RL17452) | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2026-04-21 |