NPI | 1912408410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103T00000X Psychologist |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-02-21 |
Last Update Date | 2023-10-24 |