| NPI | 1548785819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OK PSY1401) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CO PSY0005614) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-06-23 |