| NPI | 1235320284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 9292) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2011-03-29 |