| 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 |