| NPI | 1902059165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OR MD158064) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR LL17904) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: OR MD158064) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2013-07-02 |