NPI | 1043254345 |
---|---|
Former Name | PATSY JEAN HARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 19-209) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MS 19-209) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2017-02-28 |