NPI | 1427545219 |
---|---|
Former Name | HANNAH ROSE GEIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WI 4003-57) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-04-17 |
Last Update Date | 2022-06-20 |