| NPI | 1881200566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103TH0100X Psychologist Health Service |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2021-07-25 |