NPI | 1770029746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 0005234) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 005234) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-01-13 |
Last Update Date | 2022-07-19 |