NPI | 1063840031 |
---|---|
Former Name | JAMIE HUBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY35103) |
Additional Taxonomies | 103T00000X Psychologist |
390200000X Student in an Organized Health Care Education/Training Program | |
103T00000X Psychologist (Licence: CA PSY35103) | |
Enumeration Date | 2013-10-29 |
Last Update Date | 2024-08-01 |