NPI | 1770052417 |
---|---|
Former Name | EMILY LEA GINTHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TN P3692) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-11-23 |
Last Update Date | 2020-07-17 |