| NPI | 1164821039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY11042) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 5864) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-08-17 |
| Last Update Date | 2021-06-11 |