NPI | 1063092559 |
---|---|
Former Name | ERIN ELAINE FURAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY5939) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0005939) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-09 |
Last Update Date | 2024-07-15 |