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 |