NPI | 1265765465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 28339) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-09-08 |
Last Update Date | 2019-06-12 |