| NPI | 1821761115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61524546) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008551) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-01 |
| Last Update Date | 2024-06-21 |