| NPI | 1578735973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY8380) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY8380) | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2025-04-02 |