NPI | 1801258835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 293625-01) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 293625-01) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-29 |
Last Update Date | 2022-09-21 |