NPI | 1144845942 |
---|---|
Former Name | ZOEY PHILLIPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2020-06-08 |
Last Update Date | 2021-12-04 |