| NPI | 1295416717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC PSYA200001407) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0805002482) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-08-25 |