NPI | 1770995706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6362000439) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-05-26 |
Last Update Date | 2024-03-26 |