NPI | 1063556553 |
---|---|
Former Name | BETSY GAYLE CORRIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20043) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY20043) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2024-06-04 |