NPI | 1497369227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY35585) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 6301017973) |
Enumeration Date | 2020-08-31 |
Last Update Date | 2025-02-04 |