NPI | 1871156745 |
---|---|
Former Name | EMILY LAUREN FERRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 1858) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-04-17 |
Last Update Date | 2024-05-24 |