| NPI | 1427410232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 2327) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 247200000X Technician, Other (Licence: AL 2318) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-05-13 |