NPI | 1043730864 |
---|---|
Former Name | VENICE LAMBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3479-57) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3479-57) |
Enumeration Date | 2017-06-22 |
Last Update Date | 2022-07-21 |