| NPI | 1487101507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CT 004362) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 004362) |
| 103TC1900X Psychologist, Counseling | |
| 103TE1100X Psychologist, Exercise & Sports (Licence: CT 004362) | |
| 103TH0004X Psychologist, Health (Licence: CT 004362) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2022-12-13 |