NPI | 1487075651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 103TS0200X Psychologist School (Licence: GA 1239346) |
Enumeration Date | 2013-12-13 |
Last Update Date | 2014-03-26 |