NPI | 1033097399 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 103TH0100X Psychologist, Health Service |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2025-08-25 |
Last Update Date | 2025-08-25 |