NPI | 1275966335 |
---|---|
Former Name | ASHLEIGH ANNE OLLILA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 693) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-08-13 |
Last Update Date | 2022-07-20 |