| NPI | 1144994575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 025094) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2022-11-02 |