NPI | 1881249282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006608) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
103T00000X Psychologist | |
Enumeration Date | 2019-08-03 |
Last Update Date | 2024-11-25 |