| NPI | 1992188908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 31530) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 31530) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 31530) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2021-01-15 |