NPI | 1225414204 |
---|---|
Former Name | TRINITY ROSE PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005332) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-08-03 |
Last Update Date | 2023-12-13 |