NPI | 1023504784 |
---|---|
Former Name | RENE CATHERINE BAYLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009898) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2018-07-06 |
Last Update Date | 2021-01-25 |