| NPI | 1205318110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY1157) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 34525) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2025-05-30 |