NPI | 1174044051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 12466836-2501) |
Additional Taxonomies | 101Y00000X Counselor |
103TC0700X Psychologist, Clinical (Licence: UT 12466836-2504) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-06-30 |
Last Update Date | 2022-07-27 |