| NPI | 1669150116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 004566) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CT 4566) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-08-29 |