NPI | 1043373970 |
---|---|
Other Name | GAVIA CALLAWAY BRENNAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY20417) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2022-01-11 |