| NPI | 1558796862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS 2493) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2016-05-27 |