| NPI | 1912412834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2021-0869) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 14529) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10065211) | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2022-11-09 |