| NPI | 1801132865 |
|---|---|
| Former Name | TAYLOR LUBITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PSB36963) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY25953) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2013-09-12 |