| NPI | 1700398872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 247200000X Technician, Other | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2023-07-10 |