NPI | 1447098660 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 103T00000X Psychologist |
103TS0200X Psychologist, School (Licence: TX 71724) | |
Enumeration Date | 2024-07-20 |
Last Update Date | 2024-07-20 |