| NPI | 1922590967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| 103TF0000X Psychologist Family | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2025-04-02 |