NPI | 1053823583 |
---|---|
Former Name | ELIZABETH SUZANNE ROBTOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301017160) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MI SP0000000832633) |
Enumeration Date | 2017-10-24 |
Last Update Date | 2017-10-24 |