NPI | 1962845545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 19576) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: PR 19576) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-12 |
Last Update Date | 2018-10-08 |