| NPI | 1679008619 |
|---|---|
| Former Name | DEDE UKUEBERUWA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA 11385) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 023075) |
| 103TC0700X Psychologist Clinical (Licence: CA 30347) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2023-09-26 |