NPI | 1992376461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 94026041) |
Enumeration Date | 2021-07-06 |
Last Update Date | 2022-08-04 |