NPI | 1124551650 |
---|---|
Other Name | MOLLY CINDERELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2020-02672) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 228084) |
Enumeration Date | 2017-04-11 |
Last Update Date | 2022-06-28 |