NPI | 1568864874 |
---|---|
Former Name | HANNAH KUNKEL-DA CRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 103T00000X Psychologist |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-09-17 |
Last Update Date | 2018-06-20 |