NPI | 1073588133 |
---|---|
Former Name | CELENE J PRIFTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NH 1219) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 8222) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2012-06-13 |