| NPI | 1013254846 |
|---|---|
| Former Name | NANCY LOIS PUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 17103) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 17103) |
| 103TF0200X Psychologist, Forensic (Licence: CA 17103) | |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2015-02-23 |