NPI | 1336529734 |
---|---|
Other Name | RAIN MASON OLBERT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 11490) |
103TC0700X Psychologist, Clinical (Licence: NY 023893) | |
Enumeration Date | 2015-06-02 |
Last Update Date | 2021-06-15 |