NPI | 1932487006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CA A139276) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2084P0800X Psychiatry & Neurology Psychiatry (Licence: NY 278645) | |
Enumeration Date | 2011-07-23 |
Last Update Date | 2016-08-17 |