NPI | 1306283387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P88750) |
Enumeration Date | 2013-05-30 |
Last Update Date | 2014-08-07 |